2009, 08-21 Permit Application: 08004718 ResidenceCITY OF
Spokane
jValley
Community Development
Residential Construction
Permit Application
Permit Center
11703 E Sprague Ave, Suite B -3 RECEIVED BY
Spokane Valley, WA 99206 t1F SPOKANE VALLEY
(509)688 -0036 FAX: (509)6 -�37
www.spokanevallev.org
BY
AUG 21 2009
PERMIT NUMBER:
PERMIT FEE:
T (; Nnstruction
ion/Remodel
Other:
Accessory Bldg
Deck
SITE ADDRESS:
t44. 5
ec v F? -5 -' '
ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Lao fg 8iOck 3 � , �. 6•,6ciwif a
Building Owner:
DIMENSIONS: 54//3.7'
/
Name: �'
Address: f)
ilk X ‘ x a
Address: i$�-, N. Ccl.we�bie.(( kA
City: a as i Stater A
City: / t.‘ m ,eG I 3 Stater k
Zip: 7017
Phone: �0 �j c2. 4 ,7�v o $ Fax: 5a f-
%`{ o Z
Contact Person
Name: ,�d C C3'C
5ogj "7b8 3.6 $q!
Phone:
IJ �f�
Describe the scope of work in detail:
Nse w cft.�j.1-+� •L( t0 t.3
Contractor:
DIMENSIONS: 54//3.7'
/
/ /
Name: s� eo i; k co r-3 4 K Ac. t 5
Address: f)
ilk X ‘ x a
MAIN FLOOR TO Sty.
FTG: 156' LI `��
City: a as i Stater A
Zip:vq 62 1
Phone: Fax:
SO r 76`3 72_ 7,8
1
)P�
Contractor Li No: / Ex� Date:
SPL 2 r e G 9`f i��
6 /icr %/o
City Business Lic. No:
30% SLOPES ON
PROPERTY:
Cost of Project: $
Proposed Use: , to (.L r
* * * * * * * * * * * ** *The following MUST be complete: (write N/A if not applicable ) * * * * * * * * * * * * * * * * * * * * **
HEIGHT TO PEAK: IC/
DIMENSIONS: 54//3.7'
/
# OF STORIES: I
TOT + (HAB�TA3LE SPACE:
c�l ip
MAIN FLOOR TO Sty.
FTG: 156' LI `��
2Nu FLOOR SQ. FTG:
iu�
UNFIN BASEMENT SQ. FTG,
I
IMPERVIOUS SURFAFE
(Tji
AREA: 1&00
1
)P�
FINISHED BASEMENT
SQ. FTG: �J t \
GARAGE S FIG:
L(4? 7o pi-
DEC / OV. PQTI• Q. FTG:
8' / I S s:
30% SLOPES ON
PROPERTY:
# OF BEDROOMS:
IS
CQQNsFRU TIO 1TYPE:
St-: Ck- i �T
- AT • -
Cr-as �orC air
SEWER OR SEPTIC?
,1,vdr-'
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is /will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional info mation may be required to be submitted, and subsequently approved before
this application c processed.
SIGNATUR
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 2/15/07
❑ Check
ATE:
Mastercard ❑ VISA
ires: VIN #:
Project Number: 08004718 Inv: 1
Application
Date: 8/24/2009 Page 1 of 4
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW SFR W /ATT GARAGE ON SEWER W/ GAS
Setbacks: Front
Site Information:
Plat Key: Name: TRENTWOOD ORCHARDS
Left: Right: Rear:
Contact: JCO INVESTMENTS, LLC
Address: 5821 N CAMPBELL RD
C - S - Z: OTIS ORCHARDS, WA 99027
Phone: (509) 924 -2608
Group Name:
Project Name:
District: East
Parcel Number: 45021.0814 Block:
SiteAddress: 4722 N ADAMS RD
Location:: CSV
Zoning: R -3 SF Res District
Water District:
Area: 11,001 Sq Ft
Nbr of Bldgs: 0
Review Information:
Width: 0
Nbr of Dwellings: 0
Lot:
Owner: Name: JCO INVESTMENTS, LLC
Address: 5821 N CAMPBELL RD
OTIS ORCHARDS, WA 99027
Hold:
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Potable Water Review
Originally Released: 8/24/2009 By: tmelbourn
Released By:
Landuse /Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 8/24/2009 By: mharnois
Released By:
SEWER PERMIT #08006976
Originally Released: 12/5/2008 By: MTURBAK
Operator: JD
Printed By: jmm
Print Date:
8/24/2009
Project Number: 08004718
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/24/2009 Page 2 of 4
Contractor: SPLIT ROCK CONTRACTORS
Address: 4505 E BIXEL CT Phone: (509) 768 -2689
MEAD, WA 99021
Approach
Firm: SPLIT ROCK CONTRACTORS LL
Item Description
APPROACH -CONST IN ROW
Units Unit Desc
1 NUMBER OF
Fee Amount
$50.00
Permit Total Fees: $50.00
Building Permit
Contractor: SPLIT ROCK CONTRACTORS Firm: SPLIT ROCK CONTRACTORS LL
Address: 4505 E BIXEL CT Phone: (509) 768 -2689
MEAD, WA 99021
Description
1&2 FAMILY
BASEMENT U
COV DECK
DECK OPEN
GARAGE
Grp Type Notes
R -3 VB
R -3 VB
R -3 VB
R -3 VB
U -1 VB
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
HOURLY REVIEW FEE
This Application: Total Project:
Su Ft Valuation Su Ft Valuation
1,184 $112,468.16 1,184 $112,468.16
1,184 $ 17,760.00 1,184 $17,760.00
115 $1,725.00 115 $1,725.00
84 $1,260.00 84 $1,260.00
484 $9,196.00 484 $9,196.00
Totals: 3,051 $142,409.16 3,051 $142,409.16
Units Unit Desc
1 SELECT
1 SELECT
1 SELECT
2 # OF HOURS
Permit Total Fees:
Fee Amount
$1,234.55
$4.50
$493.82
$116.00
$1,848.87
Operator: JD Printed By: jmm Print Date: 8/24/2009
Project Number: 08004718 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/24/2009 Page 3 of 4
Contractor: SPLIT ROCK CONTRACTORS
Address: 4505 E BIXEL CT
MEAD, WA 99021
Item Description
DUCT SYSTEMS
GAS WATER HEATER
GAS APPLIANCE <= 100,000BTU
HEAT PUMP OR A/C 0 -3 TONS
VENTILATING FANS
HOOD - TYPE I
RANGE
GAS LOG OR GAS INSERT
VENTILATION SYSTEM
Contractor: SPLIT ROCK CONTRACTORS
Address: 4505 E BIXEL CT
MEAD, WA 99021
Item Description
TOILETSBIDETS
SINKS
SHOWERS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
WATER PIPING - DWV
Mechanical Permit
Firm: SPLIT ROCK CONTRACTORS LL
Phone: (509) 768 -2689
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
4 NUMBER OF
Fee Amount
$10.00
$10.00
$12.00
$12.00
$10.00
$50.00
$10.00
$10.00
$48.00
Permit Total Fees: $172.00
Plumbing Permit
Firm: SPLIT ROCK CONTRACTORS LL
Phone: (509) 768 -2689
Units Unit Desc
2 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
Operator: JD Printed By: jmm
Permit Total Fees:
Fee Amount
$12.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$6.00
$66.00
Print Date: 8/24/2009
Project Number: 08004718
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/24/2009
CUSTOMER MAYBE COMING IN TO SUBMIT REVISED PLANS. WILL CHARGE MIN 2 HR
REVIEW TIME ALONG WITH THE UPDATED PERMIT FEES. PER MARY KATE.
BLA -42 -08 RECORDED 3/4/09 -MH
Payment Summary:
Permit Type
Approach
Building Permit
Mechanical Permit
Plumbing Permit
Fee Amount
$50.00
$1,848.87
$172.00
$66.00
Invoice Amount
$50.00
$1,848.87
$172.00
$66.00
Amount Paid
$0.00
$489.34
$0.00
$0.00
Amount Owing
$50.00
$1,359.53
$172.00
$66.00
$2,136.87 $2,136.87 $489.34 $1,647.53
Page 4 of 4
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and /or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: jmm
Print Date: 8/24/2009
CERTIFICATE OF WATER AVAILABILITY
APPLICANT'S N� iv , .
LOCATION v
(ADDRESS) 'I 7 , i3 Ad
r .Z vDg
Water quested: Number of residential taps or commercial'flow of
_ GPM.
Permit Short Subdivision ch mor legal description , if necessary)
Rezone or other Preliminary Plat or PUD
FIRE DEPARTMENT REVIEW
Water is / or will be available at the rate of flow and duration indicated below at no less than 20 psi measured at the
nearest fire hydrant which is feet from the building / property above (Or as marked 0 on the map attached).
Rate of flow Duration
Less than 500 gpm (approx. gpm) Less than one hour
— 500 to 999 gpm 1 hour to 2 hour
1000 gpm or more 2 hours or more
Calculation of
Flow test of gpm (Commercial building permits require a flow test or calculation)
gpm
Water system is NOT capable of providing fire flow.
Fire flow is satisfactory Fire flow is NOT satisfactory
PROPOSEDUSE
PHONE NUMBER
9 31 6W 9c
Fire District
PURVEYOR j I
NAME • / /Pti 7 t.–CSO
Purveyor's Address
z Sa /.'�
Signatory name
Date of Signature
97 .6" �1?
Telephone Number 9 22
--WATER PURVEYOR INFORMATION
1• a. Water will be provided by service connection only to the existing `0 inch
water main Ot,____/___5/2_10 feet from the site.
OR b. Water service will require an improvement to the water system by the contractor
of:
(1) feet of water main to reach the site; and/or
(2) the construction of a distribution system on the site: and/or
(3) other (describe) elimination of temporary water services through District
participation, which will require a public hearing.
a. The proposed project is consistent with the water purveyor's DOH approved. water
system plan.
b. The water system has a current Washington Department of Health Operating
permit, allowing the number of new taps or water requested.
COMMENTS / CONDITIONS
I hereby certify that the above water purveyor information is tru
year from the date of signature.
Agency (District) name
,4Sf1 )14
Title
ce.
./
on sh 11
Signatory ame
94-3 /6,
be valid for one
Signatory date
SiOkane
.„Valleyo
For City Use Only
PLUS Project Number
Project Address y 72 e'' l 7
11703 E Sprague Ave Suite B -3 • Spokane Valley WA 99206
509.688.0036 • Fax: 509.688.0037 • permitcenter®spokanevalley.org
As part of our on -going commitment to customer service during the review process of your project
application, we are providing you with a TARGET DATE for the initial technical application review. If for
any reason we cannot meet this date, we will contact you with a revised target date.
Your application review TARGET DATE is
'
The TARGET DATE is the date we estimate your project application will have had its initial technical
review. It is not the date for approval or permit issuance.
Tips for a Smoother Project Application Review
➢ Submit complete, accurate plans and documents.
Extra time may be required for re- submittals as project application reviewers work on multiple applications and it
may be several days before they can look at your new or revised information.
➢ Designate a specific contact person to communicate with the City.
While the person designated as the applicant's contact person with the City can be changed, one individual with the
expertise for dealing with reviewer comments would be the best choice for the entire review process.
➢ Call staff regarding the status of your project only after the target date shown at the top of the page.
Although you should be contacted on or by the target date, please feel free to contact us if you haven't heard from us
by your target date. Staff may contact you before the target date if the initial review is complete. By following this
procedure, you will save time and allow the reviewers to complete the work more expeditiously.
Steps in the Permit Process
1. Counter Complete. Your application has been accepted as counter complete. This means all of the required
documents, as indicated on your Pre - Application Checklist have been submitted or have been approved for deferred
submittal. This does not prevent technical staff from requesting additional information as a result of their technical review.
2. Quality Check. The next step in the process is a quality check to make sure that the application is reviewable and free
from substantive flaws that would prevent technical staff from completing the technical review once it is started. When
this step is complete, your application will be routed to the appropriate staff and remain in their review queue until it
comes up for review.
3. Technical Compliance. Once an application is administratively complete, it is routed to technical staff for compliance
review. Depending on the type of project, technical staff may include multiple reviewers. You should be contacted by
phone, fax, email, or mail by your TARGET DATE once the initial technical compliance review is complete.
4. Permit Issuance. When the technical compliance review of the application is complete, including any subsequent re-
submittals, each reviewer will approve their section of the application and route it to the Permit Center. When all sections
of the application are received, a Permit Specialist will process the application and contact the person specified on your
application for permit pick -up. Information regarding fees and pre - construction meetings (if required) will be provided by
the Permit Specialist at that time.
WHITE — APPLICANT PINK — BUILDING FILE
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PROVED BY
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